Individual provider Active NPI

Deanna Lynn Koschel, PMHNP-BC

  • Nurse Practitioner
  • Garden Grove, CA
National Provider Identifier
1770355752
Registry record updated May 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95027301 Issued in CA
Practice address
12141 Brookhurst St Ste 201
Garden Grove, CA 92840-2865
Phone
(657) 261-7140
Fax
(714) 922-1032
NPI assigned
Oct 24, 2023
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95027301 CA Primary

Addresses

Primary practice location

12141 Brookhurst St Ste 201
Garden Grove, CA 92840-2865

Mailing address

27201 Puerta Real Ste 300
Mission Viejo, CA 92691-8590
Phone (949) 281-8171

Other practice location 1

27201 Puerta Real Ste 300
Mission Viejo, CA 92691-8590
Phone (949) 281-8171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250306003504 CA Practitioner - Nurse Practitioner 0042731085 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Nov 15, 2024 Accepting new patients
Grow Healthcare Group PC Psychiatric/Mental Health CurrentSince Apr 30, 2025 Accepting new patients
Telecare Corporation CurrentSince Nov 15, 2024 Accepting new patients
Telecare Corporation Current Accepting new patients
Telecare Corporation CurrentSince May 25, 2025 Accepting new patients
Medi Psych Services Inc CurrentSince Mar 9, 2025 Accepting new patients
Altignis Health LLC PastSince May 17, 2020 Accepting new patients
Alter Wellness Care PastSince Oct 1, 2022 Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

12141 Brookhurst St
Ste 201
Garden Grove, CA 92840
Phone (657) 261-7140

23161 Mill Creek Dr
Ste 230
Laguna Hills, CA 92653
Phone (949) 264-5350

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

2100 N Broadway
Ste 101
Santa Ana, CA 92706
Phone (714) 245-6881

15260 Ventura Blvd
Ste 1200
Sherman Oaks, CA 91403
Phone (310) 871-0670

5850 Canoga Ave
Fl 4
Woodland Hills, CA 91367
Phone (805) 908-1866

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777766400000",
    "number": "1770355752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27201 PUERTA REAL STE 300",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918590",
            "telephone_number": "949-281-8171",
            "fax_number": "949-281-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12141 BROOKHURST ST STE 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928402865",
            "telephone_number": "657-261-7140",
            "fax_number": "714-922-1032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27201 Puerta Real Ste 300",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926918590",
            "country_code": "US",
            "telephone_number": "949-281-8171",
            "fax_number": "949-281-1172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSCHEL",
        "first_name": "DEANNA",
        "middle_name": "LYNN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2023-10-24",
        "last_updated": "2026-05-03",
        "certification_date": "2026-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95027301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.